Gitschlag, Gary Norman

Gitschlag, Gary Norman is an sole proprietor health care provider with primary practice located at 2100 W Clinch Ave Suite 400 Koppel Plaza, Knoxville TN 37916-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gitschlag, Gary Norman can be contacted via phone (865) 521-7998.

Contact Information

Primary practice address
2100 W Clinch Ave Suite 400 Koppel Plaza Knoxville TN 37916-2219
Phone: (865) 521-7998
Fax: (865) 521-7405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0000014247 Tennessee

Profile Details

NPI number 1699856567
LBN Legal business name Gitschlag, Gary Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699856567 NPPES
Tennessee Other 20250 BLUE CROSS PROVIDER #
Tennessee MEDICAID 3196142 BLUE CROSS PROVIDER #
Tennessee MEDICAID 64772437 BLUE CROSS PROVIDER #

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